Organization
PALM HARBOR DERMATOLOGY PA
Active
Other names
PHDermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY SIMON ROSS MD (CEO)
(813) 333-1512
Entity
Organization
Contact information
Practice address
4197 WOODLANDS PKWY, PALM HARBOR, FL 34685-3493
(727) 786-3810
(727) 786-3855
Mailing address
4197 WOODLANDS PKWY, PALM HARBOR, FL 34685-3493
(813) 333-1512
(813) 333-1561
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000WR
FLORIDA BLUE
FL
Enumeration date
03/25/2008
Last updated
02/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us